Sports Hernia

I've been researching my sports hernia for 3 years and have tons of information, and plenty of experience, amassed. First, start with reading these two concise, yet compact articles:

http://www.sportsmedicineimaging.com/Sport s_hernia.html

http://www.sportsmedicineimaging.com/Groin _disruption_injury.html

Next, I'm going to cut straight to the chase on what you need to do and who can possibly see.

- What to do -

Get two distinct scans done: 1)MRI with contrast agent using Athletic Protocols. If the hospital or imaging center you are thinking of going to does not know about these protocols, take that as a big warning - don't go to them. They won't have the expert radiologist on staff that knows how to look for these. 2) Dynamic ultrasound with cine loop. This will look for the other kind of sports hernia (read article above). Do NOT allow a tech to do the scan, make sure it is done by a radiologist that knows what he is looking for and make sure he is doing the actual scan.

- Who to see -

I have no vested interest in who you choose, so my comments will be candid and forthright, no candy coating here.

Dr. Meyers - While some feel he is the expert to see, he has a very clear dual personality about him. Nice as pie one moment, near impossible the next. He is a cash-only doctor. He accepts NO insurance. $500 office visit - must be paid before the actual visit/exam and he charges $15,000 for the surgery. He gets mixed reviews on the various boards.

Dr. Muschaweck - suffice it to say, NEVER go out of the country for this surgery. NEVER EVER! She is based in Germany; once you leave her care in Germany, you are totally on your own. She had a lawsuit filed against her in 2011 for medical malpractice (no, not by me) I found this out by searching the net, so take that to heart. I went to her and now, I'm sorry I ever did.

Dr. Brown in CA - Nice man, easy to talk to, patients that go to him seem to like him but...he is light on details when you ask what he will do for you surgically. You may get the answer of, "Well, let's wait and see what we find once we get inside you and take a look around." While some patients are okay with that and have oodles of faith to spare, I do not. Anyone considering any surgery would be well-advised to ask a ton of question before going under the knife. Ask the tough questions and demand straight-forward answers.

Other names - Dr. Brunt, mesh repair; Dr. Cattey, heavy mesh repair; Dr. Hoadley, mesh repair; Dr. Boyarsky, Germany-style repair; Dr. Hanks, Germany-style repair; Dr. Brown in Canada, he may be retired, not sure.

I'm sure there are other doctors that may know this repair, but the names I have listed get repeated mention on various boards.

My suggestion: you may be dealing with an occult hernia or incipient hernia - both can be painful and troubling but not show on CT scans or ultrasounds. What to do? Skip the general surgeons and seek a hernia specialist. I'm not sure where you are located in the country, but start searching the boards to get some names.


Sports hernias usually fall into one of two genres:

-Deficiency of the posterior inguinal wall with nerve compression
-Rectus Abdmoinis tears, oblique tears, adductor tears and any malady in the surrounding tissue.

I hope this starts you on the road to some better researching. Best of luck.

Pardon the typo. That should read:


1) MRI with contrast agent using Athletic PUBALGIA Protocols.


These protocols are now public knowledge and can easily be found on the net.